2023 ESTES建议：胸腰椎骨折.pdf

EuropeanJournalofTraumaandEmergencySurgery

/10.1007/s00068-023-02247-3

GUIDELINE

ESTESrecommendationon

thoracolumbarspinefractures

January2023

123456

Klaus

Wendt

·Christoph

Nau

·Marko

Jug

·Hans

Christoph

Pape

·Richard

Kdolsky

·Sam

Thomas

·

78

Frank

Bloemers

·Radko

Komadina

Received:17November2022/Accepted:8February2023

©TheAuthor(s)2023

Chapter

1:Introduction5.Methodsofnon-operativemanagement.

6.Noconsensusisfoundyetforthecareofelderlypatients

Spinaltraumaislesscommonthanothermusculoskeletalwithconcurrentcomplexdisorders[1].

injuries,yetleadstomoredisabilityandcosts.Inrecent

decadesreliableclassifcationandinjuryassessmentsystemsAfterinitialassessmentandmanagement,adecision

havebeenpublishedandsurgicaltechniqueshavegreatlyaboutthedefnitivetreatmenthastobemade.Thereare

improved.Therearemanynewinsightsintotheprinciplestwopossibilities:conservativeoroperativetreatment.The

andtimingofthetreatmentofthoracolumbarinjuries,butdecisiondependsontheseverityofthefracture(classif-

manyunsolvedproblemsremain:cation),spinalcordinjuryandpossiblecomorbidity,and

mustbemadetogetherwiththepatient(shareddecision-

1.Roleandtimingofmedicalandsurgicalinterventionsmaking).Therearemanydiferentwaystotreatapatient,

forpatientswithassociatedneurologicalinjury.